Master Li recently found that his urine showed a bloody color, he had had prostate enlargement before and thought it was an old problem that had broken down, and there was no pain and other uncomfortable symptoms, so Master Li did not take it seriously. But after that, the symptoms of hematuria increased instead of decreased, before Master Zhang went to the hospital, and after expert examination, it was confirmed that Master Li was suffering from bladder tumor. The actual hematuria is a “signal” of bladder tumor.
There are some elderly people who are in the same situation as Master Li, there is no other discomfort when hematuria, they eat and sleep as usual, and their physical strength does not decrease significantly; and the blood in urine is intermittent, even without any treatment, the blood in urine can disappear completely after a few days. Some patients see that the hematuria can disappear on its own and there is no pain, so they often delay the consultation and put themselves in danger without realizing it.
According to statistics, bladder tumor is one of the most common tumors in urology, and in developed countries in Europe and America, the incidence of bladder tumor is second only to prostate cancer in male genitourinary tract tumors; in China, it is the first, and in recent years, the trend is increasing. The disease is more common in middle-aged and elderly people over 50 years old, and more men than women. Whether bladder tumor can be diagnosed early is crucial to the patient’s prognosis, so how can bladder tumor be detected and diagnosed early? In fact, this intermittent, painless hematuria is often a clear sign of bladder tumor. Bladder tumors account for almost 50% of patients with painless hematuria. Most of the hematuria is due to tumor rupture and bleeding, and the amount of bleeding is not completely consistent with the size, number and malignancy of the tumor. Compared with the hematuria caused by other diseases, the hematuria of bladder tumor has two characteristics: one is painless, that is, when hematuria occurs, the patient does not have any pain and other uncomfortable symptoms, which is called painless hematuria in medicine. This is different from the hematuria caused by stones with kidney and ureteral pain, and also different from the hematuria caused by urinary tract infection with frequent, urgent and painful urination. However, if tumor necrosis, ulceration and combined infection, bladder irritation symptoms such as urinary frequency, urinary urgency and urinary pain may occur. Secondly, it is intermittent, that is, hematuria appears intermittently and can be stopped or reduced by itself, and the interval between two hematuria can be several days or months, or even half a year. Therefore, once hematuria appears, active and timely examination should be taken to ensure early diagnosis.
It is not difficult to diagnose bladder tumor. When painless hematuria occurs in middle-aged and elderly people, urine exfoliative cell examination should be done immediately, which is simple and non-invasive and can be used as preliminary screening for bladder tumor. If the urine exfoliative cell test is positive and ultrasound examination reveals a bladder mass. You should undergo further cystoscopy. The cystoscope is inserted into the bladder along the urethra, which can directly see the site, size, number and basal infiltration of the tumor. If a small piece of tumor tissue is also clamped for pathological examination, the nature of the tumor can be clarified. Cystoscopy is the only means to confirm the diagnosis of bladder tumor before surgery.
The middle-aged and elderly people over 40 years old are always healthy, once they have inexplicable bloody urine, painless and painless, they should think about the possibility of urinary tract tumor, and the first thing to be alerted is bladder tumor. The first thing to be alerted is bladder tumor. You should go to hospital for examination in time to achieve early detection and early treatment.